Lymph Node Swelling: When to Seek Medical Advice - Oncology

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I am very nervous?


It is normal to have one lymph node on each side beneath the chin.
However, I have heard that swollen lymph nodes can indicate certain symptoms.
Recently, I've been experiencing shortness of breath after walking for a while, and I feel the need to breathe continuously, although this happens only occasionally.
Interestingly, I don't experience this when playing sports or engaging in vigorous exercise.
Upon checking, I noticed that the lymph node on the right side beneath my jaw has become slightly enlarged.
There is also another movable lymph node in my neck, but neither of them is painful, and it seems they haven't been increasing in size.
Externally, there are no visible signs of growth, but I am concerned about potential symptoms.
When I searched online, I found a lot of alarming symptoms.
I would like to ask what this might indicate.
I haven't experienced loss of appetite or insomnia, and I don't have a fever.
It has been getting colder recently, and I occasionally cough, but not frequently.

Xiao Yu, 10~19 year old female. Ask Date: 2016/02/28

Dr. Chen Yunfang reply Oncology


Hello: Everyone has two salivary glands (submandibular glands) in their jaw, which is normal.
If you are still very concerned, you can visit the ENT department at the hospital and ask the doctor to examine whether it is a salivary gland or a lymph node.
Thank you.

Reply Date: 2016/02/28

More Info


Lymph node swelling, also known as lymphadenopathy, can be a concerning symptom, especially when accompanied by other signs such as difficulty breathing or changes in your overall health. It's important to understand the potential causes of lymph node enlargement and when to seek medical advice.

Firstly, it is normal to have lymph nodes located under the jaw and in the neck area. These nodes can become enlarged due to various reasons, including infections, inflammation, or more serious conditions like malignancies. The lymphatic system plays a crucial role in your immune response, and lymph nodes often swell in response to infections, such as viral or bacterial illnesses. Common infections that can cause lymph node swelling include the common cold, strep throat, or even dental infections.

In your case, you mentioned that you have noticed swelling in the lymph nodes under your jaw and in your neck, which are movable and not painful. This is a positive sign, as painful and fixed lymph nodes are often more concerning. However, the fact that you are experiencing shortness of breath while walking, even if it is occasional, is something that should not be overlooked. Shortness of breath can be caused by a variety of factors, including anxiety, respiratory issues, or cardiovascular problems.

Given your symptoms, here are some guidelines on when to seek medical advice:
1. Persistent Swelling: If the lymph nodes remain swollen for more than two weeks without any signs of improvement, it is advisable to consult a healthcare provider.
2. Associated Symptoms: If you experience additional symptoms such as fever, night sweats, unexplained weight loss, or persistent fatigue, these could indicate a more serious condition that requires further evaluation.

3. Breathing Difficulties: Since you mentioned experiencing shortness of breath, especially if it worsens or occurs at rest, you should seek medical attention promptly. This could be indicative of a respiratory issue or other underlying health problems.

4. Changes in Lymph Nodes: If the lymph nodes become hard, fixed, or painful, or if you notice new lymph nodes swelling in other areas of your body, these changes warrant a medical evaluation.

5. General Health Changes: Any significant changes in your overall health, such as loss of appetite, sleep disturbances, or persistent cough, should also be discussed with a healthcare provider.

In terms of dietary considerations, while there is no specific diet that can prevent lymph node swelling, maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support your immune system. Staying hydrated and getting adequate rest are also important for overall health.

In conclusion, while lymph node swelling can often be benign and related to common infections, your symptoms of shortness of breath and the characteristics of the swollen lymph nodes suggest that it would be prudent to consult a healthcare professional. They can perform a thorough examination, possibly including blood tests or imaging studies, to determine the underlying cause of your symptoms and recommend appropriate treatment. Remember, it is always better to err on the side of caution when it comes to your health.

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